Answer this question truthfully
### Question: What are the symptoms of Hashimoto's thyroiditis?
### Response: Many people with Hashimoto’s disease have no symptoms at first. As the disease slowly progresses, the thyroid usually enlarges and may cause the front of the neck to look swollen. The enlarged gland, called a goiter, may create a feeling of fullness in the throat but is usually not painful. After years, or even decades, the damage to the thyroid causes it to shrink and the goiter to disappear. Not everyone with Hashimoto’s disease develops hypothyroidism. For those who do, the hypothyroidism may be subclinical —mild and without symptoms. Other people have one or more of these common symptoms of hypothyroidism:
Fatigue Weight gain Cold intolerance Joint and muscle pain Constipation Dry, thin hair Heavy or irregular menstrual periods and impaired fertility Depression A slowed heart rate